Reducing tube feeds and tongue thrust: Combining an oral-motor and behavioral approach to feeding

Bridget G. Gibbons, Keith Williams, Katherine E. Riegel

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

OBJECTIVE. A treatment package combining oral-motor and behavioral interventions was implemented tor a 6-year-old girl with Down syndrome referred to an intensive day treatment feeding program for gastrostomy tube dependence and food refusal. The participant exhibited a tongue thrust, resulting in the expulsion of all foods presented. METHOD. An oral-motor procedure was used to reduce the tongue thrust and allow the food to be swallowed. This procedure was paired with positive reinforcement and escape prevention to increase oral consumption of liquids and solids. A multiple-probe design was used to evaluate treatment effectiveness. RESULTS. By the end of treatment, tube feedings were eliminated and tongue thrust was significantly reduced. CONCLUSION. This intervention demonstrated the successful combination of oral-motor and behavioral components in the treatment of a severe feeding problem. It could serve as a model for the development of future interventions.

Original languageEnglish (US)
Pages (from-to)384-391
Number of pages8
JournalAmerican Journal of Occupational Therapy
Volume61
Issue number4
DOIs
StatePublished - Jan 1 2007

Fingerprint

Tongue
Food
Gastrostomy
Enteral Nutrition
Therapeutics
Down Syndrome

All Science Journal Classification (ASJC) codes

  • Occupational Therapy

Cite this

@article{6ee4dda21eab40239706ba0a2a6c2c12,
title = "Reducing tube feeds and tongue thrust: Combining an oral-motor and behavioral approach to feeding",
abstract = "OBJECTIVE. A treatment package combining oral-motor and behavioral interventions was implemented tor a 6-year-old girl with Down syndrome referred to an intensive day treatment feeding program for gastrostomy tube dependence and food refusal. The participant exhibited a tongue thrust, resulting in the expulsion of all foods presented. METHOD. An oral-motor procedure was used to reduce the tongue thrust and allow the food to be swallowed. This procedure was paired with positive reinforcement and escape prevention to increase oral consumption of liquids and solids. A multiple-probe design was used to evaluate treatment effectiveness. RESULTS. By the end of treatment, tube feedings were eliminated and tongue thrust was significantly reduced. CONCLUSION. This intervention demonstrated the successful combination of oral-motor and behavioral components in the treatment of a severe feeding problem. It could serve as a model for the development of future interventions.",
author = "Gibbons, {Bridget G.} and Keith Williams and Riegel, {Katherine E.}",
year = "2007",
month = "1",
day = "1",
doi = "10.5014/ajot.61.4.384",
language = "English (US)",
volume = "61",
pages = "384--391",
journal = "American Journal of Occupational Therapy",
issn = "0272-9490",
publisher = "American Occupational Therapy Association, Inc",
number = "4",

}

Reducing tube feeds and tongue thrust : Combining an oral-motor and behavioral approach to feeding. / Gibbons, Bridget G.; Williams, Keith; Riegel, Katherine E.

In: American Journal of Occupational Therapy, Vol. 61, No. 4, 01.01.2007, p. 384-391.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Reducing tube feeds and tongue thrust

T2 - Combining an oral-motor and behavioral approach to feeding

AU - Gibbons, Bridget G.

AU - Williams, Keith

AU - Riegel, Katherine E.

PY - 2007/1/1

Y1 - 2007/1/1

N2 - OBJECTIVE. A treatment package combining oral-motor and behavioral interventions was implemented tor a 6-year-old girl with Down syndrome referred to an intensive day treatment feeding program for gastrostomy tube dependence and food refusal. The participant exhibited a tongue thrust, resulting in the expulsion of all foods presented. METHOD. An oral-motor procedure was used to reduce the tongue thrust and allow the food to be swallowed. This procedure was paired with positive reinforcement and escape prevention to increase oral consumption of liquids and solids. A multiple-probe design was used to evaluate treatment effectiveness. RESULTS. By the end of treatment, tube feedings were eliminated and tongue thrust was significantly reduced. CONCLUSION. This intervention demonstrated the successful combination of oral-motor and behavioral components in the treatment of a severe feeding problem. It could serve as a model for the development of future interventions.

AB - OBJECTIVE. A treatment package combining oral-motor and behavioral interventions was implemented tor a 6-year-old girl with Down syndrome referred to an intensive day treatment feeding program for gastrostomy tube dependence and food refusal. The participant exhibited a tongue thrust, resulting in the expulsion of all foods presented. METHOD. An oral-motor procedure was used to reduce the tongue thrust and allow the food to be swallowed. This procedure was paired with positive reinforcement and escape prevention to increase oral consumption of liquids and solids. A multiple-probe design was used to evaluate treatment effectiveness. RESULTS. By the end of treatment, tube feedings were eliminated and tongue thrust was significantly reduced. CONCLUSION. This intervention demonstrated the successful combination of oral-motor and behavioral components in the treatment of a severe feeding problem. It could serve as a model for the development of future interventions.

UR - http://www.scopus.com/inward/record.url?scp=34548040498&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=34548040498&partnerID=8YFLogxK

U2 - 10.5014/ajot.61.4.384

DO - 10.5014/ajot.61.4.384

M3 - Article

C2 - 17685170

AN - SCOPUS:34548040498

VL - 61

SP - 384

EP - 391

JO - American Journal of Occupational Therapy

JF - American Journal of Occupational Therapy

SN - 0272-9490

IS - 4

ER -